Individual
MARISOL ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 N 2ND ST STE A, PHILADELPHIA, PA 19122-3802
(267) 266-0569
Mailing address
1440 N 2ND ST STE A, PHILADELPHIA, PA 19122-3802
(267) 266-0569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG010231
PA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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